MARISSA JOHNSON (NPI# 1386015626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386015626 |
| Entity Type | Individual |
| Full Name | MARISSA JOHNSON |
| Credential | LPCA, NCC |
| Practice Address |
1126 Sam Newell Rd Suites C & D Matthews NC 28105-5083 |
| Mailing Address |
1126 Sam Newell Rd Suites C & D Matthews NC 28105 |
| Practice Telephone | 9806891991 |
| Mailing Telephone | 9806891991 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A11835 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081345 | Marissa Noelle Johnson | Nurse Practitioner | 14820 N Rome Ave, Tampa, FL 33613-1542 | 2018-11-05 |
| 1184149825 | Marissa Ann Johnson | Chiropractor | 257 Prospect Ave Ste 16, West Orange, NJ 07052-4210 | 2017-08-03 |
| 1679921290 | Marissa Johnson | Specialist/Technologist | 7153 Us Highway 6, Linesville, PA 16424-8155 | 2016-05-25 |
| 1659992154 | Marissa Kay Johnson | Social Worker | 495 E Main St, Columbus, OH 43215-5349 | 2020-05-06 |
| 1477113678 | Marissa Johnson | Physical Therapist | 3145 W Clark Rd Ste 102, Ypsilanti, MI 48197-1120 | 2019-06-19 |
| 1588167324 | Marissa Johnson | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2018-03-16 |
| 1447703525 | Marissa Irene Johnson | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2016-07-26 |
| 1629474028 | Marissa Johnson | Physician Assistant | 901 W Ben White Blvd, Suite 201, Austin, TX 78704-6903 | 2014-11-12 |
| 1053549337 | Marissa Johnson | Occupational Therapist | 17615 85th Avenue Ct E, Puyallup, WA 98375-1859 | 2009-06-25 |
| 1396997862 | Marissa Marie Johnson | Physician Assistant | 6620 Schaefer Rd, Dearborn, MI 48126-4502 | 2008-10-16 |
| Street Address |
1126 SAM NEWELL RD SUITES C & D |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-5083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376734020 | Natalie R Huston | Counselor | 1126 Sam Newell Rd, Suite A, Matthews, NC 28105-4519 | 2007-08-07 |
| 1306210158 | Tamela Gilmore | Counselor | 1126 Sam Newell Rd, Matthews, NC 28105-5083 | 2015-11-17 |
| 1710303714 | Tasha Boileau | Social Worker | 1126 Sam Newell Rd, Suite C&d, Matthews, NC 28105 | 2014-03-14 |
| 1891069076 | Christopher Aaron Cook | Counselor | 1126 Sam Newell Rd, Suite A, Matthews, NC 28105-5083 | 2012-03-06 |
| 1801192240 | Jonathan Ritz | Naturopath | 1126 Sam Newell Rd, Matthews, NC 28105-4519 | 2011-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635794 | Shannon Marie Berger | Counselor | 5005 Cinnamon Dr, Matthews, NC 28104-6202 | 2020-06-29 |
| 1679196620 | La Vida Counseling, Pllc | Counselor | 1122 Sam Newell Rd Ste 103, Matthews, NC 28105-5016 | 2020-05-26 |
| 1285260281 | Amy Dunn | Counselor | 2840 Ritz Ln, Matthews, NC 28105-9443 | 2020-03-21 |
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1205392099 | Mindful Movements, Pllc | Counselor | 1118 Sam Newell Rd Ste D1andd4, Matthews, NC 28105-5041 | 2019-02-16 |
| 1255863015 | Christine Turpyn | Counselor | 2510 Hamlet Ct, Matthews, NC 28105-5455 | 2017-03-31 |
| 1801260971 | Hilary H Carr | Counselor | 1122 Sam Newell Rd Ste 114, Matthews, NC 28105-5016 | 2015-11-30 |
| 1609268655 | Reaching Resolution LLC | Counselor | 1140 Sam Newell Rd # B4, Matthews, NC 28105-5065 | 2015-02-27 |
| 1033545215 | Tracy Masiello | Counselor | 1146 Sam Newell Rd, D, Matthews, NC 28105-5071 | 2013-09-19 |
| 1306187075 | Sergio Andres Arenas Velasquez | Counselor | 10801 Monroe Rd, Matthews, NC 28105 | 2013-03-06 |
| Find all providers in MATTHEWS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.